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20100131
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NBC
Jan 20, 2010 7:00am EST
, you're going to cut half a trillion from medicare, affect tri-care and raise taxes. people are hurting right now and they thought we could do better. >> during the campaign, you were referred to as 41, the reference being that if you were elected, you would be the 41st republican in the senate and put an end to the democrats' supermajority, and you said you'd like to be the decisive vote to block health care reform. so, is that number one on your agenda when you get to washington? >> no. the first thing i'm going to do when i get to washington is go and meet everybody, both democrat and republican -- >> but once you get done with that. >> establish that -- well, once i get done with that, whatever bill comes up, i'll look at it and make my own decision, but if it is the health care bill, we already have 98% of our people insured here already in massachusetts, so, we do not need the plan that's being pushed upon us. we would have lesser care, longer lines and pay higher taxes and it makes no sense. >> you may not need it because you and the people of massachusetts are insured, but what
NBC
Jan 17, 2010 8:00am EST
. >> reporter: you are a surgeon and brought a lot of your medicare care and so we'll look for your reporting on nightly news. dr. snyderman, thank you very much. >>> we want to switch gears and >> we have plenty of rain in the area. the heaviest just north of the city. our forecast for today calling for rain, on again, off again, possibly heavy at times. >>> and when we're not here, you can always check on your weather online at weather.com. now here's jenna. >>> janice, thanks. two university of florida graduate students were in haiti working on a documentary film when the earthquake hit. moments later their cameras started rolling and here to share their incredible story are john and roman. good morning to both of you. >> good morning. >> you returned yesterday. in fact from what i understand you're both pretty much wearing the same clothes you were wearing while you were down there. we'll get you clothes to change into in a little bit. but, first of all, how are you guys doing emotionally? and then we'll get to exactly what happened. and how were you after the earthquake hit? >> yeah. i t
NBC
Jan 17, 2010 8:00am EST
medicare care and so we'll look for your reporting on nightly news. dr. snyderman, thank you very much. >>> we want to switch gears and go back home and get a check of the weather. for that we'll say good morning to janice huff. >> gd morning, lester. we've got quite a crowd out here this morning. even though it's a bit on the chilly side and kinda cloudy, everybody is here. celebrating your 32nd wedding anniversary, congratulations. happy anniversary. happy birthday to sherlock holmes. i love are hat. >> thank you. there's been a big weekend celebration for sherlock holmes. the bakers street irregulars based in new york city have a big party every year and snchts and a good sunday morning everyone. i'm news 4 meteorologist chuck bell. a large area of rain pushing northbound through the commonwealth of virginia, headed due north into the washington metropolitan area. all this rain has yet to come forth today. we'll get a little break late this afternoon and this evening when this slot of drier air comes in, but that doesn't mean we're completely done with the rain. current temperatures
CSPAN
Jan 5, 2010 6:00am EST
the report from the centers of medicare and medicaid services. susan host this isçó 55-minute event. >> i'm susan denser, happy new year and welcome to our briefing on health care numbers. that is ritual as the medicare and medicaid services as well as health affairs to bring out these spending numbers every year, and we're delighted to be able to do that once more. this year we have historic numbers to help act twares and others unveil. and as you will hear and perhaps already read we had an historic slowdown in the rate of health care spending as well as rate of growth in 50 years.ç] of course the other side of the story is health care spending still grew faster than the overall economy so we're not out of our long-term projectry with the health differing to pay for the health 06 our folks.Ñi and i will turn it over to our folks from cms to present the data. you'll be hearing from micah hartman. with the office of the act tware at the centers for medicare medicaid services or cms. he works primarily on historical and age-basedçó national health care spending benefits and fromt
CSPAN
Jan 11, 2010 11:00pm EST
going to pay for this? cutting half a trillion dollars out of medicare and you are going to be taxing people at a time they cannot afford it. we can do better. we can go back to the drawing board. it will not take 15 years. not on my watch. i will make it a priority to have coverage that states can rely on and have the flexibility. not a one-size-fits-all for the country and the hurting states. >> i am going to turn to you and you can -- all of you have talked about the economy. voters put jobs at the top of their list. everyone is worried about 10% unemployment. it is also true that this terrible economic situation workers find themselves in comes at the end of a lost decade for american workers. there has been nationwide, no net job growth since december, 1999 and middle class families when adjusted for inflation have not seen their incomes rise. what are your plans not only short term but what is the answer to the long-term challenge for jobs for americans? >> if i can no to that the congressional budget office says within 10 years that health care plan will be deficit neutral. one
CSPAN
Jan 14, 2010 11:00pm EST
-called reduction in medicare -- is this information or misinformation? are they really going to reduce the amount of money in medicare to pay for this plan? also, the public option. how come they do not want to fight for that? it seems to me that it would be a good way to go. if people are insuring -- purchasing insurance, they are responsible for reading the policy and numbing their coverage. it is just like taking out a loan. if you sign on the dotted line, you are responsible because it is a contract. i think republicans are just fear-mongering, trying to kill the bill simply because of the input of lobbyists. host: thank you for the call. guest: public comment on the medicare question. the pieces in the legislation that would reduce cost under medicare are comprised of a number of components that have been discussed by legislative advisory commissions in the past, such as the medicare advisory council, which advises congress on issues of payment in medicare. issues have also been raised by the congressional budget office. these are pieces of the medicare puzzle that have been prett
CSPAN
Jan 4, 2010 11:00pm EST
2008. more now on the report from members of the center of medicare and medicaid services. this is a 55 minute event. >> good morning, i'm the editor in chief of health affairs. having a year. welcome to our briefing on the health spending numbers. this is a ritual at the center for medicare and medicaid services as willis health affairs to bring out the spending numbers every year. we are delighted to be able to do that once more. this year we have a historic set of numbers to help others unveil. you will hear and perhaps you have already read the historic slow down in health-care spending in 2008. the slowest rate of growth in 50 years. on the other side of the story some health-care spending grew faster than the overall economy. we are not out of our long-term trajectory. we continue to outpace the growth in the gdp. with no further ado, i will turn into our fine folks who will explain the data further. this person is very knowledgeable. we will hear from another person who is an economist at the centers for medicare and medicaid services. she was primarily on historical state bas
CSPAN
Jan 12, 2010 11:00pm EST
wasn't talking about medicare advantage when they referred that. the bills in the house and senate include massive cuts in the medicare advantage program. and so people that have med can care advantage have vin vative new private insurance available for million office seniors and me digap policy. but also recognizing that the business of creating the massive new government run health insurance exchanges. and then allowing businesses to not offer health insurance if they just pay an 8 percent tax to the federal government will create an incentive where you'll see by some estimate maybe 100,000,000 americans could lose insurance through they're employers. not because the government would make them drop they're insurance you understand? you know, i think i remember the president saying one time, nothing in this bill requires you to give up your insurance. - or you know give up insurance you have through your employer but respectfully as i've said, it's hard to keep the healthcare insurance you have at the place of employment if your employer cancels it. and in this tough economy and i
CSPAN
Jan 13, 2010 2:00am EST
it. apparently, the administration was not talking about senior citizens who had medicare advantage, and they were referring to that because the bills in the house and senate contain massive cuts. if people that have medicare advantage and the innovative program available to millions of seniors through medicare -- that goes away. also, this business of creating massive new government-run health insurance exchanges and allowing businesses to not offer health insurance to their employees if they just pay and 8% tax to the federal government is going to create an incentive for you are going to see, by some estimates, maybe a hundred million americans could lose the health insurance they currently have with their employer. it is not because the government would make the employer dropped their health insurance regan -- health insurance. i think our remember the president's saying nothing in this bill will make you give up the insurance you have through your employer. i would say respectfully, it is awfully hard to keep the health insurance you have at your place of employment if your emp
CSPAN
Jan 5, 2010 11:00pm EST
now and medicaid. i don't know the exact number but clearly with the body of medicare of 55 and over we are going to pick up two or 3 million more. now you've got the program operated by the opm and you have a bye in there of several million people. there's a provision most people haven't focused on which is a state can set up a separate program for people, government-run between 133% of poverty and 300% of poverty and any number of states will essentially do that. finally in all probability the exchanges are going to be run by the states. so, as that system comes forward you've got a bigger medicare, bigger medicaid, the fixed rates other components which are going to have negotiated rates. the bad news is going to take four years, five years to get this up and operating so i'm not sure there's going to be a lot of changes. but i think we have to start thinking how do we bring those together? it may be that medicare and medicaid are dictating rates for the groups that are negotiated. >> if we take that as a presumption we are going to see something built i would like you to respond
CSPAN
Jan 28, 2010 6:00am EST
will bring down premiums, bring down the deficit, cover the uninsured, strengthen medicare for seniors and stop insurance company abuses, let me know. let me know. i'm eager to see it. here's what i ask congress, though. don't walk away from reform. not now. not when we are so close. let us find a way to come together and finish the job for the american people. let's get it done. let's get it done. now, even if health care reform would reduce our deficit, it's not enough to dig us out of a massive fiscal hole in which we find ourselves. it's a challenge that makes all others that much harder to solve and one that's been subject to a lot of political posturing. so let me start the discussion of government spending by setting the record straight. at the beginning of the last decade, the year 2000, america had a budget surplus of over $200 billion. by the time i took office, we had a one-year deficit of over $1 trillion and projected deficits of $8 trillion over the next decade. most of this was the result of not paying for two wars, two tax cuts, and an expensive prescription dru
CSPAN
Jan 28, 2010 11:00pm EST
house bill that passed, there was a massive savings expected in medicare i believe estimated 5 billion over the first few years and $1 trillion over the first 10 years of full implementation and 3 trillion over 20 years of implementation. that was transferred from the medicare savings are used to expand the other activity of the government's, specifically the expansion of medicaid and the new entitlement that was in the bill. if those dollars were used which were saved for medicare to shore up medicare and in some manner manner, in a medicare reserve fund to pay down debt, could you give us a thumbnail estimate how much that might help correct the structural problems that we have? >> i cannot do quantitative acquisition in my head by you're watching is correct that we estimated almost 500 billion in medicare savings over the 10 year projection point*. and over time if they not separately quantify. >> let me combine a question come if you did not use it to expand the government but instead to shore up the medicare system by reducing fed debt wouldn't that have a significant posi
CSPAN
Jan 29, 2010 11:00pm EST
, we're going to lower the costs of medicare and medicaid and it will not cost anybody anything. that is great politics, it is just not true. so there has got to be some test of realism in any of thesexd proposals, mine included. i have to hold myself accountable and guarantee the american people will hold me accountable if what i am selling does not actually deliver. >> mr. president, a point of clarification. what is in the better solutions book are all the legislative proposals that were offered. >> i understand that. i have actually read your bills. >> through 2009. >> i a understand. -- i understand. >> the summary document you receive this backed up by precisely the kind of detailed legislation that speaker pelosi android restoration have been busy ignoring for 12 months. >> i have read your legislation. i take a look at this stuff and the good ideas we take. here is the thing that all this have to be mindful of. it cannot be all nothing, one way or the other. would the mean by that is thisÑi if we put together a stimulus package in which a third of it are tax cuts that normall
CSPAN
Jan 28, 2010 2:00am EST
, too, is an entitlement. we tend to think about social security and medicare, medicaid as being the entitlements of great concern to us. interest on the national debt is truly obligatory, it has to be paid, it's an entitlement in the strongest sense of the word. our witnesses last week suggested we need some target thes. we don't need to be out there doing ad hoc things, we need some target to shoot at, and they were suggesting we try to bring the deficit down to 3% of gdp and bring the debt or at least hold it to no more than 6% of gdp. are those reasonable goals? do you think they're too level, too high, too tight, too strict? >> so, again, mr. chairman, it's not our place at cbo to suggest what your goals should be. economists don't have any analytic basis for saying, this is the crucial point in terms of debts or deficits. it is true that as we push in this country to 60%gdp at the end of this year and beyond that over the next few years, we're moving into territory that most developed countries stay out of. we are moving into territory the that is unusual in our historical expe
CSPAN
Jan 7, 2010 2:00am EST
, the spending part of this has been combined with a promise to increase taxes and to reduce medicare outlays so that the sandwich that is produced, spending increases and revenue sources, as far as the cbo's rules are concerned that they have to cost out to develop a whole. they tell you what the individual components are, but the headline that comes out is that the legislation as a whole will not add a dime to the national debt indeed will reduce the national debt. but i wonder if anybody really believes that medicare outlays are going to be reduced by $500 billion over the next several years. after all, while getting ready to enact that provision, congress and of course that doesn't start for a few years, congress passed grade now been repealing previous legislation, which would have cut medicare payments to physicians by more than $200 billion. finally there's the issue of increasing health care costs. i think the obama administration and peter or his bag in particular have correctly identified increase in health care costs as a major problem for families, for businesses and for t
CSPAN
Jan 8, 2010 2:00am EST
me was a waste, and medicare and private insurance had to pay for all this waste. all i am trying to say is that if you are going to put primary- care physicians in, you have to teach them to know what they are doing rather than to rely on specialists to get the answers. host: great, thank you. we have a la -- a lot of callers waiting. guest: what she is describing is the world. struggling with in edmonson. -- had the world we are struggling with in madison. we cannot know it all. we have been unwilling to admit that. we've been trained to get the idea that it is all going to be in our head, and we have not developed the systems in the place that can change that. it is why i ended up writing on something as mundane as developing a checklist across madison. we look at the aviation world and how they handle themselves, the skyscraper world, and we found the the first principle of successful conditions of complexity is for experts to admit to themselves that they are fallible, that they will fail at times, it will not remember everything, and then to build in those standards of practice
CSPAN
Jan 12, 2010 2:00am EST
what is being pushed in washington on massachusetts, spending $500 million on medicare? we know we need to reform and that is something we're going to be doing very shortly. to think that we need of one size fits all plan from congress, coming down here and hurting what we have? that is one of the differences between martha coakley and i. at a time when we just do not needed. i would propose going and allowing states to do this individually with the government incentivizing it. we can export what we have done and show them how to do it. i am looking forward to be the party -- the 41st vote and get that plan back to the drawing board. >> thank you for hosting us here this evening. i would be proud to be the 60th vote to make sure that we need health care reform that was so badly need. we have taken the lead here in massachusetts, and now we are attacking the cost to provide competition and transparency to bring the costs down. we spent $2.60 trillion on health care in this country. we do not get our money. we do not have transparent terry -- transparency in competition. we do not ha
CSPAN
Jan 18, 2010 11:00pm EST
from medicare, you're going to look at blogger lines and less coverage. we know we need to reform pricing and it's something we are doing shortly but today we will have a one-size-fits-all plan in congress is going to come down here in massachusetts and heard what we have, that is one of the difference between martha coakley and ipt were talking to a trillion dollar health care plan, half a trillion dollars in medicare cuts at a time we just needed. i would propose actually going and allowing the states to do it individually with the government incentivizing it. similar to what we did here. we could export out what we've done and show them how to do it, so i'm looking forward to having the opportunity to be the 41st vote and make sure that we get that back to the drawing board. >> this coakley. >> thank you comedy for hosting us these evening. i would be proud to be the 60 votes to make sure we get health care reform we badly need. we've taken the lead in massachusetts and getting it to be in short and now we are attacking costs to make sure we provide for transparency and competi
CSPAN
Jan 14, 2010 6:00am EST
potential medicare recipients or poverty level or something involving health care in nebraska that was different, then that would be a different story on the constitutionality. that is what many states in the national legislation are not alter the say because there are distinctions and many times there is horse trading that goes on as we all know. there's always a reason given buried there is no reason given here except for the one i have recited and that is one we see as unconstitutional and is likely seen as many as a symbol of the excess as of the culture of corruption and excessive spending and fiscal irresponsibility in the congress. that is not addressed in this letter. what this letter addresses is the constitutionality of that one provision after we wrote the letter, the next day which was thursday, december 31, i received a telephone call from senator gramm saying that he had received a telephone call from senator ben nelson asking him to call the dogs of. senator graham suggested to senator nelson that he call me. he called me and asked what he could do to assure us that ther
CSPAN
Jan 5, 2010 11:00pm EST
. if you have to go to a certain facility, this case first before medicare pays. it is fair. they are still providing a roof over your head and other things. quality is another issue. the second piece is if you use a home community-based option with medicaid and the package of options in the state include the tough stuff such as desisted technology, transportation, personal assistance. -- assisted technology, transportation, personal assistance. you still need $1,500 to do other things in your house. whatever your acute bonus injury is, this is on top of it. that is how we try to leave this. the last beasley tried to do is swear senator kennedy had been all wrong. this was never meant to put certain people out of business. we did a lot of exploration as to where this has been our of the last few years and where they are right now. they need a jump-start in order to work. this program is not the end all be all. it is to go together with the long-term care products that are out there. we had the five years in here for a reason. it was to make sure that the government that the participat
NBC
Jan 26, 2010 6:00am EST
entitlements like medicare. >> let us make the tough choices. every family in america has had to do that in cutting our own budget. >> tax breaks are a one to be aimed at the middle class according to the president. >> students to get ahead and workers to retire. with a new poll confirms america's top concerns as jobs and the economy. with many unemployed workers have been unemployed for over six months. we have never seen anything like that before. >> can he convince americans relief is up ahead. >> people care about results and the creation of jobs in getting a handle on the deficit rather than they do abut the next speech. >> the president of the united states. a this morning, congress is expecting more bad news for rising deficits. even the malaise -- even the president's allies say it would barely make a dent in it even given the hiring freeze. >> if you are feeling blue, the cold weather makes january and the next month a prime time for depression. the last full week of january is the most depressing day of thethe holidays are over, bills areif you are feeling down, get moving
CSPAN
Jan 16, 2010 2:00am EST
see how medicare is already rationing health care for women in this country. it is against the law. and they're doing it. markets work and we can either embrace them and say they're not going to be perfect -- no market is perfect -- which means that some people will lose. but look at medicaid. we have 17 million people in this country who are eligible for medicaid and are not signed up. that is our answer. that is what will happen to have the people under this bill. who do we have next? back over here. let's go back there. >> keith jenkins. >> i know keith and jenkins. i grew up down the street from him. >> that is right. what is the status of the government employees? and if they kicked it out, what is the argument? >> i have the amendment added in the committee, barely, by one vote. they refused to allow that amendment on the senate floor. first of all, it is not a cute amendment. it is common sense. if the members of congress are in it, it will be ok for everybody else. ñrthere might to take care of themselves. they refused and that is the senate rules. we were operating in a u
CSPAN
Jan 22, 2010 11:00pm EST
some changes. there it is good news. compared to medicare, social security is in reasonably good shape. with some relatively small adjustments, you can have that solvent for a long time. i know people are concerned about it. social security we can fix. in terms of the cola, it stands for the cost of living allowance. it is put in place to make sure that social security is keeping up with inflation. here's the problem. this past year, because of the severity of the recession, we did not have inflation. we actually had deflation. so prices actually fell last year. as a consequence, technically, seniors were not eligible for a cost-of-living adjustment because prices did not go up in the aggregate. that does not mean that individual folks were not being pinched by higher heating prices or what have you. but on average, prices went down. here's what we did. of congress here, we did vote to provide a $250 one-time payment to seniors, which, when you factored it in, amounted to about 1. 8 percent. so it was almost the equivalent of the cola, even though it wasn't actually the cola. so
CSPAN
Jan 15, 2010 11:00pm EST
government. 60% of all health care is run by the government today. medicare, medicaid, indian health service, military, and v.a., tricare. 60% of it is run by the government. one of the reasons you have an absolute shortage of primary care doctors in this country is because we have set the price for what they're going to pay for primary care and the doctors won't go into it anymore, because there's a 350% payment differential. so we can either embrace our heritage, which says we've relied on markets to allocate scarce resources, or we can deny it and allow the government to run it. i think the health care bill ultimately will pass. i think they're going to buy the votes. you saw what happened in the senate. they're going to dot exact same thing in -- do the exact same thing in the house to get the votes they need and we will have a health care bill that the president will sign. don't think it's the best answer for us as a nation. i can tell you what's in that bill. it puts the government in charge of what you'll get, when you'll get it and where you'll get it, and that's even if you have pri
CSPAN
Jan 8, 2010 6:00am EST
their cost per patient as compared to medicare is about two-thirds, all right? this is a triple winner. open up the va to vets who can use their medicare entitlement. not only that, open it up to their wives. let them buy into the system. it not only makes clinical sense but but an 80-year-old veterans has got comorbidity and they both will have to learn to take care of each other but it makes financial sense because everybody you get off medicare to the va you saved maybe about a third. and patient satisfaction is incredibly high. so that's my case for what we ought to do, not just abouthxz agent orange situation but getting our veterans right in general. thank you. [applause] >> well, thank you, everyone for your remarks. i want to open it up to questions in a minute but i want to ask a few myself.g6v and the first is that it seems like both in vietnam and in the united states -- this is sort of the theme that kind of emerged as we were doing our research and editing the package, what you run into is the limits of science when trying to craft public policy either foreign polic
CSPAN
Jan 27, 2010 2:00am EST
work throughout the tin your period spending on social security, medicare and medicaid are rising relative to the economy because the aging population and rising health care costs. discretionary spending is declining as a share of gdp over the period. crucially dependent on the baseline assumption of appropriations will increase only with inflation and more rapidly as they have with most of the past several decades. on top of that then there is the effect of the cyclical recovery as the economy improves the spending related to benefit programs will decline, tax revenue will rise, the effects also on top of that it affects the legislation so the stimulus package spending will wane and the tax increases in tax rates scheduled to occur under the current law as to those one, 2003 tax cuts expire will push up revenues considerably. all of those forces are at work throughout the production. i think basically what you are seeing in the first set of figures is declines in the deficit due to the cyclical recovery and increasing taxes as earlier tax cuts expire, and what you will see later,
CSPAN
Jan 20, 2010 6:00am EST
taxes! it will hurt medicare! it will destroy jobs! and run our nation deeper into debt! that's not anything to clap about because it's not in the interest of our state. it's nothing to clap about. it's not in the interest of our state, in our country. and we can do better! [cheers and applause] [chanting "yes, we can"] you know, when i traveled throughout the state, i've had a lot of fun. you guys are all having fun. [cheers and applause] so thank you. thank you. we have more of a show coming for you. so we are very excited. but when i'm in washington, i will work in the senate with the democrats and republicans to reform health care in an open and honest way. no more closed-door meetings, backroom deals. [cheers and applause] backroom deals with an out-of-touch party leadership. no more hiding costs, concealing taxes, collaborating with the special interests and leaving more trillions in debt for our children to pay. in health care we need to start fresh! we need to start fresh, work together to do the job right. and i hate to sound repettive, but once again we can do better! i wi
CSPAN
Jan 6, 2010 2:00am EST
agencies accountable for the medicare regulations and the conditions of participation and that say that you must have a discharge plan in place, you must do this, you must do that. when i talk about having a providers, they looked at me and laughed. poor child, you do not understand. we do not have time to do that. that is regulations. why do we not make providers more accountable to do that? they just think it is not important. >> i can do a soap box, too. i wanted to say that i think the next policy step is the community choice act. i think the class act is good. it will mean that middle-class people will be encouraged to be prepared to take care of their long-term care needs or at least have been subsidized at some point in the future. as i said, half of the population need long-term care services lives in or near poverty. i do not think that population is very likely to pay into the program. in any case, a lot of people need services now. as long as the states have optional and not required home and community-based services, they will do what is happening in california and many othe
NBC
Jan 26, 2010 5:00am EST
national parks. the freeze won't affect military or security costs or entitlements like medicare. the engines of big spending that's driving up complaints. >> what's r let's make the tough choices. every family in america is having do that today and cutting our own budget. >> reporter: protecting should be the middle class. the president said. aiming a set of tax breaks. >> proposals made it's easier for families to get by. students to get ahead. for workers to retire. >> reporter: it came on a day of new poll confirmed americans topped concerns, jobs, the economy. >> about two out of event frooif unemployed workers in this country have been unemployed for over six months. we have never seen anything like that before. >> reporter: can the president convince americans relief is ahead? >> i think people care much more about results, about creation of jobs, about getting a handle of the deficit, rather than they do about the next -- >> the president of the united states. roup to americans, tomorrow night. >> this morning congress' budge i arms comes out with what's expected to be mo
CSPAN
Jan 13, 2010 11:00pm EST
provisions the closing of the doughnut hole, that's how much the people on medicare have to pay out of pocket for their medication. we want to close that gap so people don't have to pay that much. we do it in the house of representatives, and so that was i think a lot of the conversation. so it isn't super yet. >> host: recovered a town hall meeting with stupak in michigan he talked about his amendment on abortion. it's part of the house legislation. did that come up last night and what is the fate of that do you think? >> guest: eight date. the pro-choice caucus which i'm part of, which has well over 100 members in the house of representatives and wide support throughout the country reproductive health care being part of any package. it came up last night in the context of those of us who are pro-choice believe that we ought to stick with the status quo that says and i want to say very clearly not any federal dollar to pay for abortion. we don't necessarily like that but we agree with that. that is the hyde amendment. and the stupak amendment and the nelson amendment and the samet
CSPAN
Jan 6, 2010 11:00pm EST
are elderly or late middle-age because the pattern of the war. most are going to qualify for medicare any way. the va has excess capacity. soon it's going to have a lot more excess capacity. it is less the world war ii generation and the korean war passalong. it's also been a winning for a decade now has literally offering the best care anywhere on metrics ranging from patient satisfaction to the use of information technology, evidence based medicine. anybody remotely acquainted with the quality of literature on health care the last decade would know the va has the best care anywhere. also, although it is hard to get a card number it appears the cost per patient as compared to medicare is about two-thirds. so this is a triple winner. open up the va to the vets who can use the medicare entitlement not only that, open it up to their wives, let them buy into the system. this now makes clinical sense but 8-year-old veteran scott more bdy with their wife, they have to take care of their tether to the coverage of the buttocks sense because every person of medicare and to the va you have sav
CSPAN
Jan 8, 2010 11:00pm EST
medicare, which they snuck through in the middle of the night. i watched it all night. i'm a democrat. but i listen to fox, i listen to glenn beck, kennedy, o'reilly, chris matthews, keith okayer ton. i listen to it all. i didn't have the best of circumstances when i came up. i didn't graduate high school. but i went back and got my high school diploma and got a job. they sent me to school. >> right. >> caller: and the constitution says that i hear you keep talking about the constitution the constitution says this the constitution says that. the constitution never said that huh to have farming to take care of anybody houses, the constitution never said that you had insurance on cause if you want to have a cause. >> host: hey, james. we're just a little tight on time. what would you address michael steele to address? >> caller: why did they lose the race in maryland if he was such a great listener? >> well, you know, governor ehrlich and i did the unthinkable. we won after 40 years of having democrats in maryland, the last republican governor before ehrlich was sparagnon. in 2002, the
CSPAN
Jan 26, 2010 11:00pm EST
florida exemption for medicare advantage or the $11 billion in clinics in maine or the louisiana purchase or it might be exemptions from executive pay controls in big phrma, it could be anything. it will add and add and add over on this side until all of this no political capital, all who knew it was a bad idea what it began, enough has moved to the plus side, to neutral, where if you put that final little weight on the skile, i like to call it the straw that breaks the camel's back, clink, it goes over this way. now there's enough support to pass a bill and that's when they ram it through and they don't let you up for air because they're afraid they'll lose votes . when that little moment comes, when they think they've got the votes, it comes through and that's why, that's why the united states senate was doing business for three constant weeks without a break and that's why they were doing business on christmas eve, to pass socialized medicine, with the 60-40 majority on december 24, christmas eevek, because they finally stacked the scales to the point where, clink, it would go
CSPAN
Jan 25, 2010 11:00pm EST
you willing -- the government cannot take its hands off my medicare? >> we may get at some point of crisis in which we cannot any longer avoid facing this issue. t(we are hoping to point out tht that crisis is sufficiently imminent said that we have to move ahead. we think that is likely to be persuasive. it is not that the leadership of the congress and the administration did not know about this problem. it is not that they do not know what some of the options are. but so far, partisanship has prevailed and we hope we can turn that around. >> i think it is obvious to the leadership in both houses know the problem is a big one. they know it is a bad one. if we can just add to the trepidation, to the fear that this is something really big and that we'd better think big and at bigç -- and act big, so politically we are doing something we would not otherwise do. if we cannot do that, we are not addressing the problem. one more. >> "the new york times". i want to know, especially from the senator, one of the biggest things is problems facing the congressional white house efforts to pu
CSPAN
Jan 27, 2010 11:00pm EST
down the deficit, cover the uninsured, strengthen medicare for seniors and stop insurance company abuses, let me know. let me know. i'm eager to see it. here's what i ask congress, though. don't walk away from reform. not now. not when we are so close. let us find a way to come together and finish the job for the american people. let's get it done. let's get it done. now, even if health care reform would reduce our deficit, it's not enough to dig us out of a massive fiscal hole in which we find ourselves. it's a challenge that makes all others that much harder to solve and one that's been subject to a lot of political posturing. so let me start the discussion of government spending by setting the record straight. at the beginning of the last decade the year 2000 america had a budget surplus of over $200 billion. by the time i took office, we had a one-year deficit of over $1 trillion and projected deficits of $8 trillion over the next decade. most of this was the result of not paying for two wars, two tax cuts, and an expensive prescription drug program. on top of that, the effect
CSPAN
Jan 19, 2010 11:00pm EST
watched the company's dream that the medicare system. i watched the prescription drug companies work with the doctors or prescriptions to benefit them in the pharmaceuticals, so this -- republican mr. brown is going to give to the senate -- i just heard the lady that said olympia snowe is going to have a hard battle. this leedy is a republican. but she's moderate. they don't know whether they want a conservative republican or the old a moderate republican. and it don't make any sense the way that this country is just fighting over something unless you have health care one-to-one. 80% of the people don't even know what it is. they don't see what is being billed. if they have insurance. >> host: jennifer call. the house and senate back in session this week. a week from tomorrow the president will be delivering his state of the union address. of course, live coverage here on c-span and the media network classes been retial, here in washington and nationwide on xm channel 32. gina is joining from north adams massachusetts. did you vote in today's special election? >> caller: hi, i did. i
CSPAN
Jan 25, 2010 11:00pm EST
. ms. powell held leadership physicians ndn hell jefferson centers for medicare and medicaid services. wow, that is a lot. please join me in welcoming debbie powell. [applause] >> thank you very much lori for that warm introduction. i really that old. i have had just short stents everywhere. i want to thank the national network for you for inviting me to participate in this symposium this year. it gives me an opportunity to its thank you for all the work that you do and the pleasure of meeting many of you, because at thisbe we know that you were the people that keep the trains running without all of the excellent services you provide, our program would be merely legislation. so i asked and i accepted the opportunity to come in introduce myself today because there has been a change in leadership and i want you to see my face and to thank publicly the director now of the runaway homan youth program, curtis porter for the wonderful leader mackey has provided at fisbe for several years. curtis, stand up. [applause] i have to say that because i have bennett fisbe for a year and i
CSPAN
Jan 12, 2010 11:00pm EST
. this is to me akin to the historic efforts for example to put in place medicare and medicaid but i think it is more like to my mind covering the seniors. seniors are no longer the poorest americans. young people are now, kids. there was a day in american life seniors especially older women really were in need of protection, social safety net we saw some of that with social security and don't forget covers widows or if it's that kind of thing and then of course with medicare again to pick up the idea we should not be struggling for health care coverage and now i think the extension would be to make sure all americans have some basic level of health care coverage and people don't have to scrap for, don't have to worry about having some kids to kill mr. will bankrupt them and it's not only then. we think it in terms of individuals, but i can't tell you how often when i am not doing reporting i come across people who are small business owners who complain to me about the high cost of health care benefits for employees, and of course we see what happened with auto companies. so it becom
CSPAN
Jan 20, 2010 2:00am EST
debated openly and fairly. it will raise taxes, hurt medicare, destroy jobs, and run our nation deeper into debt. that is not anything to a club about. it is not in the interest of our state and our country. we can do better. [chanting "yes w2e can"] when i travel throughout the state, i've had a lot of fun. if you guys are all having fun. thank you. we have more of a show coming for you. when in washington, i will work in the senate with democrats and republicans to reform health care in an open and honest way. no more closed-door meetings or back room deals by an out of touch party leadership. no more hiding costs, concealing taxes, collaborating with special interests, and leaving more trillions in debt for our children to pay. in health care, we need to start fresh, work together, and do the job right. once again, we can do better. i will work in the senate to put government back on the side of people who create jobs, and the millions of people who need jobs - and as president john f. kennedy taught us, that starts with an across the board tax cuts for businesses to create jobs, bu
CSPAN
Jan 6, 2010 6:00am EST
social security, medicare and now health care for all americans. any of my colleagues wish to add? any question? >> madam speaker, as you know, a number of moderates said that the senate legislation can't change too much and still get 60 votes in the senate. so what is is it critical for members to see? >> we want our final product, as i'm sure everyone in the house and senate would agree to ensure affordability for the middle class, accountability for the insurance company as it provides accessibility by lowering costs for every -- at every stage. those are the standards that we have which i think are shared in the house and in the senate. >> the senate should know -- [inaudible] >> we need 218. >> madam speaker -- [inaudible] >> the fact is the public option -- i prefer to call it the public's option, an option for the public to hold the insurance companies accountable and to increase competition. there are other ways to do that. and we look forward to having those discussions as we reconcile the bill. but unless we hold the insurance companies accountable we will not be able to
CSPAN
Jan 20, 2010 11:00pm EST
important. it is a question of whether we're going to raise taxes and cut $500 billion from medicare. i think that we can do it better. to be the 41st center and bring it back to the drawing board, there were very good things that you just pointed out in the national plan that is being proposed, but if you look at in a parochial matter, we need to look out for massachusetts first because no one -- i have felt that as a legislature and a citizen that we have not done that very well. we've always thought about maybe washington first or the party first. but the thing i am hearing all throughout the state is, what about us? thank you. nice to see. >> you ran as an independent. you are elected as an independent. what is first in your agenda, your number one priority to show that you are the independent that it wanted to send to washington? >> i have not had much sleep yet. but that being said, i will meet with a delegation tomorrow, all of which are democrats, and i will check in with the republican leadership, and obviously senator mccain he was helpful from the beginning. people need to se
CSPAN
Jan 4, 2010 11:00pm EST
on for a point* security going bankrupt and had to be saved. medicare went bankrupt in the late 90's and general revenue was added. we are in it because of the recession but it is more intense than ever. my feeling is we go through a variety of options the for don't get day strategy for the future along the lines of -- if we don't get a commission that has teeth and we will default and that will be a long tough fight. >> just one thing before we move on. i appreciate your historical perspective and appreciate when they wrote ran against each other that was worse than partisan stance provide take a shorter view of history which is what i know. it to me it looks like a straight downhill slide in the ability of people of good will from both parties to get together and address the problems of common public interest as opposed to constantly looking for an edge in the next election. do disagree? >> i do. that is why i am here. [laughter] the key factor is the south have two-thirds of their leadership positions and you have long term democratic control. larry is the expert on this with star
CSPAN
Jan 7, 2010 11:00pm EST
everything and it does not cost me a dime. i could be on medicare but i chose not to do it. i have been with the va since i got out of the service in 71. but why are all these-- and inuit costs >> host: thank you dean. in fact testing and how much doctors employed them has been in regular theme of yours. here's what they yorker article with the headline testing testing. how will the guide to the point where doctors are calling on lots of test that even sometimes they say are gold-plated then? >> guest: your caller did hit the button on one of the issues driving prices which is our malpractice system, which is driven in ways that-- let me give you an example. headaches, one community actually tried to look at how many ct scans and cedar rapids iowa they were doing for people. they found they did 50,000 ct scans for a population of 300,000 in a year. all of us know that this is a necessary and 10,000 of them were for a head ct scans. only a tiny number ended up turning up any abnormality. many were just ordinary headaches. some of them for fear of malpractice suits and a more signifi
CSPAN
Jan 11, 2010 11:00pm EST
, medicare, minimum wage, at 40 hour week and civil-rights act and voting rights act. that is what made the united states a beacon of hope in a confused and divided world. too many people take for granted government's role as protector of wall street and the privilege. they see middle-class americans as overpaid, and underworked. they see social security as a problem rather than the only piece of our retirement system that actually works. day -- they fail to see the connections and in a quality and homelessness. the world view has brought democrats nothing but disaster. they offered middle-class the false hope of tax cuts. tax cuts and up enriching the rich, devastating the middle class by destroying the institutions like public education and the social security that makes the middle class possible. are you trying to tell me something? [laughter] >> we are now with our ku and a point*. >> i am not done with what i have to say. [applause] >> it has been 25 minutes and we will start. >> did you wrap up in 30 seconds? >> i can wrap up in a couple minutes working people have been waiting 30 yea
CSPAN
Jan 19, 2010 11:00pm EST
debated openly and fairly. it will raise taxes. it will hurt medicare. it will destroy jobs and reincarnations -- and ruin our nation -- and run ourn ation deeper into debt. it is not in the interest of our state. it is not in the interests of our state and country. we can do better. >> [chanting "yes we can"] when i have travelled, i've had a lot of fun. you guys are all having fun. thank you. we have more of a show coming for you. we are very excited. when i am in washington, i will work in the senate with the democrats and republicans to reform health care in an open and honest way. no more closed door meetings and backroom deals. -- with an out of touch party leadership. no more hiding costs. no more leading trillions in debt for our children to pay. in health care, we need to start fresh. we need to start fresh and work together to do the job right. once again, we can do better. i will work in the senate to put government back on the side of people who create jobs in the millions of people who need jobs. remember, as president john f. kennedy stated, that starts with across
CSPAN
Jan 5, 2010 6:00am EST
times to cut medicare. he has voted for trade deals like after that send jobs overseas. he is the leader in the senate for privatizing social security. 98% voting record with george bush. so what's behind all the talk? i record that hurts pennsylvania. >> i'm bob casey and i approve this message. >> one of the argus were concerned about that he could make is that he was given for pennsylvania, that he had the seniority to bring a lot of projects on, a lot of jobs on. it took him a while to get out of that message but at the time we started running this, he had finally started talking about that. that's why he talks about delivering for pennsylvania. we wanted to say, no, here is what he is doing to regular pennsylvanians. so it's the set up with a positive and a follow through with the negative. and also reacting, anticipating where he was likely to go with the one message that was going to do him the most good. and what was going to be a tough year for him. we do a lot of work for the esc see, the democratic centroids campaign. they are challenging because you're not allowed to t
CSPAN
Jan 15, 2010 2:00am EST
: thank you for taking my call. the so-called reduction in medicare -- is this information or misinformation? are they really going to reduce the amount of money in medicare to pay for this plan? also, the public option. how come they do not want to fight for that? it seems to me that it would be a good way to go. if people are insuring -- purchasing insurance, they are responsible for reading the policy and numbing their coverage. it is just like taking out a loan. if you sign on the dotted line, you are responsible because it is a contract. i think republicans are just fear-mongering, trying to kill the bill simply because of the input of lobbyists. host: thank you for the call. guest: public comment on the medicare question. the pieces in the legislation that would reduce cost under medicare are comprised of a number of components that have been discussed by legislative advisory commissions in the past, such as the medicare advisory council, which advises congress on issues of payment in medicare. issues have also been raised by the congressional budget office. these are pi
CSPAN
Jan 29, 2010 2:00am EST
make adjustments to social security and medicare. i think we've got to look people in the eye and say, yes, there is really no alternative. medicare is cash-negative today. the trustees tell us it will be insolvent in eight years. social security is cash-negative today. and your report of the day before yesterday, says that it will be cash-negative every year except two for the future. you say in your report it will go cash-negative on a permanent basis in 2016. so anybody that says you don't have to make any changes to those programs, programs i strongly support -- i know i lost my parents when i was young, i got social security that help immediate go to college. so i understand its importance in people's lives. i understand the importance of medicare in people's lives. i've seen it in my own family. but the suggestion we don't have to do anything is just not being straight with people. and so i hope as this debate goes forward, we just don't fall back into the same old divide of, we can't cut this, you can't add any revenue here. i personally believe given the nature of the baby
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